Provider Demographics
NPI:1265556823
Name:COUNTY OF CARTERET COURTHOUSE SQUARE FINANCE OFFICE
Entity type:Organization
Organization Name:COUNTY OF CARTERET COURTHOUSE SQUARE FINANCE OFFICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEALTH DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JASPER
Authorized Official - Middle Name:T
Authorized Official - Last Name:GARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:EDDMPH
Authorized Official - Phone:252-728-8550
Mailing Address - Street 1:3820 BRIDGES ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-2918
Mailing Address - Country:US
Mailing Address - Phone:252-728-8550
Mailing Address - Fax:252-222-7739
Practice Address - Street 1:3820 BRIDGES ST
Practice Address - Street 2:SUITE A
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-2918
Practice Address - Country:US
Practice Address - Phone:252-728-8550
Practice Address - Fax:252-222-7739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC048693336C0002X
NC34D0667266291U00000X
251B00000X, 261Q00000X, 261QD0000X, 261QF0050X, 261QP0905X, 261QP2300X, 261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No3336C0002XSuppliersPharmacyClinic Pharmacy
No291U00000XLaboratoriesClinical Medical Laboratory
No251B00000XAgenciesCase Management
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
No261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0727EOtherBLUE CROSS BLUE SHIELD
NC3404316Medicaid
NCNP566001503OtherCELTIC
NC007451155OtherAETNA
NC007451155OtherAETNA
NC=========OtherUNITED HEALTHCARE
NC3404316Medicaid